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Chlorhexidine: a hidden life-threatening allergen.

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  • 1Serviço de Imunoalergologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte EPE, Portugal.

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|November 14, 2019
PubMed
Summary

Anaphylaxis to chlorhexidine, a common antiseptic, can be life-threatening. This study highlights increasing cases of chlorhexidine allergy, emphasizing prompt diagnosis and patient history for allergic reactions to disinfectants.

Keywords:
AllergyAnaphylaxisChlorhexidine

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Area of Science:

  • Medical Microbiology
  • Clinical Immunology
  • Patient Safety

Background:

  • Chlorhexidine is a widely utilized antiseptic and disinfectant in healthcare.
  • Anaphylaxis to chlorhexidine, though rare, presents a significant life-threatening risk.
  • Emerging epidemiologic data indicate a rise in reported chlorhexidine allergy cases.

Observation:

  • A case of life-threatening anaphylactic shock with cardiorespiratory arrest during urethral catheterization due to chlorhexidine is presented.
  • A literature review of PubMed (2014-2018) identified an increasing global incidence of anaphylaxis reports linked to chlorhexidine.

Findings:

  • The incidence of reported anaphylactic reactions to chlorhexidine has risen globally.
  • Anaphylaxis can manifest as severe cardiorespiratory compromise.

Implications:

  • Healthcare providers must be vigilant for potential chlorhexidine allergies.
  • Thorough patient history (anamnesis) and diagnostic evaluation are crucial for managing suspected disinfectant allergies.
  • Increased awareness and diagnostic protocols are needed to address the rising trend of chlorhexidine-induced anaphylaxis.